Herrmannsdoerfer, Axel Juergen

Herrmannsdoerfer, Axel Juergen is an individual health care provider with primary practice located at 1 Tallow Wood Dr , Clifton Park NY 12065-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Herrmannsdoerfer, Axel Juergen can be contacted via phone (518) 373-4444.

Contact Information

Primary practice address
1 Tallow Wood Dr Clifton Park NY 12065-2807
Phone: (518) 373-4444
Fax: (518) 373-0663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 202113 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 202113 New York

Profile Details

NPI number 1821056615
LBN Legal business name Herrmannsdoerfer, Axel Juergen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated May 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821056615 NPPES
New York MEDICAID 01666242

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